Jackson Davis HealthCare
Medicare Audit Defense,
  Medicare Appeals & ZPIC Shadow Audits
Contact us at (303) 586-5003
support@jdhcare.com

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The Healthcare Provider's #1 Medicare Audit Defense & Medicare Appeals Team
ZPIC Audit Defense - ZPIC Appeals - Medicare Shadow Audits

Medicare Audits & Medicare Appeals Education - $295 Webcasts (*includes copy of presentation)

May 8, 2013 - 2:00p - 3:30p EST
Physician E & M and Use of Modifier 25 - Inpatient Hospital, Outpatient and Physician Offices

This presentation will address a key focus area that is rolling out nationwide on the permanent Medicare audit program - Physician Evaluation & Management services & Use of Modifier 25 in both hospital and physician practice settings.  Several previous Medicare audits, error evaluations, probes and directives have highlighted a wide range of challenges regarding the accuracy of E&M visit definitions.  This discussion will provide an in-depth look at physician evaluation & management coding for inpatient hospitals services (CPT 99221 - 99223, 99231 - 99233) and established office visits (99211 - 99215).

Please send your registration request and contact information to us via e-mail at support@jdhcare.com.  Registrations must be received no later than May 7 and you will receive an e-mail confirmation with sign-on information and password.  The cost is $295 per healthcare provider.

May 22, 2013 - 2:00p - 3:30p EST
Inpatient Rehabilitation Facility - 2013 Medicare Coverage Criteria

This presentation will address Medicare Coverage Criteria for Inpatient Rehabilitation Facility admissions.  After a prolonged absence following the initial RAC demonstration project, Medicare and Medicare contractors are starting to "circle-back" to IRFs.  We will discuss the IRF "medical necessity" criteria and the full range of CMS documentation requirements for inpatient rehab providers.

Please send your registration request and contact information to us via e-mail at support@jdhcare.com.  Registrations must be received no later than May 21 and you will receive an e-mail confirmation with sign-on information and password.  The cost is $295 per healthcare provider.

June 5, 2013 - 2:00p - 3:30p EST
Home Health Agencies - Homebound Status, Certification, Skilled Nursing Care & Physical Therapy

This presentation will address Home Health Agencies and ramped up CMS efforts to attack perceived overpayments to providers. Nationwide, ZPICs and MACs are out in full force to conditionally deny cases based upon homebound status, unnecessary skilled nursing care and medically inappropriate physical therapy services.  This is an OUTSTANDING presentation for home health providers and will focus on Medicare coverage criteria, responding to CMS additional documentation requests and the filing of home health appeals.

Please send your registration request and contact information to us via e-mail at support@jdhcare.com.  Registrations must be received no later than June 4 and you will receive an e-mail confirmation with sign-on information and password.  The cost is $295 per healthcare provider.

June 19, 2013 - 2:00p - 3:30p EST
The Medicare Appeals Process for Healthcare Providers - How to Win!

This presentation will address issues associated with Medicare audits / Medicare appeals - RAC appeals, ZPIC appeals, DOJ appeals, OIG appeals, MAC appeals, Medicare overpayment determinations and the Medicare appeals process.

As CMS continues to ramp up auditing efforts, providers nationwide are spending tens of millions of dollars on legal fees, repaying hundreds of millions of dollars to CMS for conditional denials and being exposed to potential Medicare fraud allegations.  This discussion will provide an in-depth look at the Medicare appeals process and explore a wide range of opportunities for providers to proactively build winning Medicare appeals (RAC appeals, ZPIC appeals, etc.).  The old days of soft regulations and provider education are over - it is absolutely vital that providers understand how the game has changed.

Please send your registration request and contact information to us via e-mail at support@jdhcare.com.  Registrations must be received no later than June 18 and you will receive an e-mail confirmation with sign-on information and password. The cost is $295 per healthcare provider.

July 2, 2013 - 2:00p - 3:30p EST
ZPIC Auditor Targeting of Skilled Nursing Facilities (Part A & Part B) - SNF "Medical Necessity", MDS Documentation & Therapy Services

Under fire from Medicare ZPIC audits (as well as other CMS audit contractors), SNFs can be highly susceptible to losses from missing documentation, "medical necessity" requirements and challenges relating to appropriately billed MDS components for Medicare Part A and Part B coverage.  This presentation will address a wide range of topics including responding to Additional Documentation Requests from CMS and CMS contractors, applicability of acute stay documentation, developing SNF appeals, performing self-audits and the major target areas where providers struggle to win ZPIC audit cases.

Please send your registration request and contact information to us via e-mail at support@jdhcare.com.  Registrations must be received no later than July 1 and you will receive an e-mail confirmation with sign-on information and password. The cost is $295 per healthcare provider.

July 16, 2013 - 2:00p - 3:30p EST
Percutaneous Coronary Intervention (PCI) & ICD Surgical Procedures - Inpatient or Outpatient?

This presentation will address one of the primary Medicare audit focus areas and specifically considers CMS challenges to performing these surgical procedures in the "wrong setting".  Critical issues such as the Medicare Inpatient Only list, inpatient admitting criteria, documentation requirements and case management will all be discussed in detail.  This will be a great discussion for Case Management, HIM and financial staff.

Please send your registration request and contact information to us via e-mail at support@jdhcare.com.  Registrations must be received no later than July 15 and you will receive an e-mail confirmation with sign-on information and password.  The cost is $295 per healthcare provider.

July 30, 2013 - 2:00p - 3:30p EST
ZPICs Targeting of Skilled Nursing Facilities (Part B Only) - Therapy Services & the KX Modifier

This presentation will address a key focus area that is on the national Medicare audits / ZPIC audits / MAC audits / RAC audits radar - SNF Part B therapy services & use of the KX modifier.  SNFs are being targeting for overuse of Part B services and outcomes are being extrapolated by ZPICS and MACs on a daily basis.  This discussion will provide an in-depth and detailed look at CMS investigation outcomes, MAC target areas, Medicare coverage criteria, NCD / LCD requirements, billing, claim submission requirements and the most recent CMS directives regarding modifier KX.

Please send your registration request and contact information to us via e-mail at support@jdhcare.com.  Registrations must be received no later than March 26 and you will receive an e-mail confirmation with sign-on information and password.  The cost is $295 per SNF provider.

August 13, 2013 - 2:00p - 3:30p EST
Bringing It All Together - Medicare Audits, Evidence-Based Coverage, Value-Based Purchasing (VBP) & Pay-For-Performance (P4P)

This presentation will address Medicare's new reimbursement structure and how CMS is fitting all the pieces together.  FY 2012 was been a transformational year for providers and Medicare's EBM structure and FY 2013 will continue be the biggest change to healthcare since the implementation of PPS almost 30 years ago.  This will be a great discussion for financial & executive leadership.

Please send your registration request and contact information to us via e-mail at support@jdhcare.com.  Registrations must be received no later than August 12 and you will receive an e-mail confirmation with sign-on information and password.  The cost is $295 per healthcare provider.

August 27, 2013 - 2:00p - 3:30p EST
Medicare Appeals for Healthcare Providers - Applicability of the Treating Physician Rule & Other Legal Arguments

This presentation will address CMS efforts to stop Medicare fraud, Medicare audits, Medicare appeals and the applicability of the "treating physician rule".  CMS and a wide range of judicial findings have determined the relative weight to be given to attending physician testimony, Medicare coverage criteria, independent medical evidence and other issues in pending Medicare appeal matters. With Medicare RAC audits, Medicare ZPIC audits and Medicaid Integrity Contractor audits (MIC audits) rolling out nationwide and 100,000s of Medicare appeals being anticipated annually, it is critical that providers understand prior Medicare Appeals Council and U.S. court findings relating to these very important issues.

Please send your registration request and contact information to us via e-mail at support@jdhcare.com.  Registrations must be received no later than August 26 and you will receive an e-mail confirmation with sign-on information and password.  The cost is $295 per healthcare provider.
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